KIMBERLY SIMONNE NELSON LCMHC
NPI 1356497325
Counselor - Mental Health in Winston Salem, NC
- Individual
- Female
- Counselor
- Mental Health
- Accepts Insurance
- PECOS Enrolled
About KIMBERLY NELSON
This page provides the complete NPI Profile along with additional information for Kimberly Nelson, a provider established in Winston Salem, North Carolina with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1356497325 assigned on January 2007. The practitioner's primary taxonomy code is 101YM0800X with license number 4349 (NC). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1356497325 Verify this NPI
- Provider Name
- KIMBERLY SIMONNE NELSON LCMHC
- Other Name
- KIMBERLY LANE NELSON LPC
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 140 KIMEL PARK DR STE 101 WINSTON SALEM, NC 27103
- Location Phone
- (336) 718-7280
- Location Fax
- (336) 718-7290
- Mailing Address
- PO BOX 60447 CHARLOTTE, NC 28260
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-25-2007
- Last Update Date
- 08-28-2024
- Code Navigator
A mental health counselor like Kimberly Nelson provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 4349
- License State
- NC
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 4349 (NC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard A | Nationwide Doctors - PPO
- Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Gold Standard A | Statewide Doctors - HMO
- Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Novant Health - EPO
- Blue Home Bronze Standard | with Novant Health - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 137PU | OTHER (01) | NC | MENTAL HEALTH |
| 6102130 | MEDICAID (05) | NC |
Medicare Participation & PECOS Enrollment Status
Kimberly Nelson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for KIMBERLY SIMONNE NELSON LCMHC
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356497325, enumerated as an "individual" on January 25, 2007.
The provider is located at 140 KIMEL PARK DR STE 101 WINSTON SALEM, NC 27103 and the phone number is (336) 718-7280.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Medicare and. Please consult your insurance carrier or call the provider to verify.